Do you have a lack of energy?

Yes

No

Do you have a decrease in strength and/or endurance?

Yes

No

Have you lost height?

Yes

No

Have you noticed a decreased “enjoyment of life”?

Yes

No

Are you sad and/or grumpy?

Yes

No

Are your erections less strong?

Yes

No

Have you noticed a recent deterioration in your work performance?

Yes

No

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